AUA Offers New Evidence-Based Clinical Guidelines on the Medical Management of Kidney Stones
Linthicum, MD — The American Urological Association (AUA) recently released its first evidence-based clinical guideline to improve the evaluation, treatment and follow-up of first-time and recurrent kidney stone formers.
Kidney stone disease can be asymptomatic and occur intermittently and repeatedly. For those who have experienced a stone or undergone surgical intervention for a stone, there is strong motivation to avoid a repeat episode. Consequently, these patients often seek advice from a variety of practitioners on how to prevent recurrent stones. However, misinformation exists within the lay community and on the internet; even medical providers often disseminate recommendations contrary to evidence-based medicine.
“Each year, more than half a million people go to emergency rooms for kidney stone problems,” said Margaret S. Pearle, MD, PhD, chair of the guideline development panel. “This new guideline offers practitioners a standardized medical plan for diagnosing and treating kidney stones including analyzing blood and urine specimens to measure for substances that positively or negatively affect stone formation, and recommending dietary changes and medication, if needed.”
According to the National Health and Nutrition Examination Survey (NHANES), the prevalence of kidney stones has increased 70 percent since 1994. Historically, kidney stones have occurred more often in men than in women; however, the most recent NHANES shows the gender gap in stone disease is closing with a slightly higher prevalence among men (10.6 percent) than among women (7.1 percent). The reasons for the observed rise in stone disease among women are not certain, but diet and lifestyle are likely an impact as obesity, a known risk factor for kidney stones, was found to be greater in women than in men. Continue>
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